PATIENT FORMS
At Associates in Women’s Health our commitment is to provide state of the art healthcare in a safe, trustworthy environment. When you schedule an appointment you will be sent a link to fill to your patient forms securely and they will be ready for your visit.
Depending on the type of appointment you schedule, you may be asked to download the forms below, print at home and bring to your next appointment.
Patient Record Request
We now offer an Online Patient Record Request tool for the following individuals to request patient records:– Patients requesting their own records– Patients requesting their own records to be sent to someone else– Parents of minor patients requesting records– Caregivers acting on behalf of a patient (i.e. Power of Attorney)The Online tool verifies your identity by asking for a photo of your driver’s license or Government issued identification, which can be taken via webcam or smartphone. There is no additional charge to use this service.
Healthcare Provider Record Request
Associates in Women’s Health now offers a Healthcare Provider Record Request tool for Healthcare Providers ONLY.
Please note: Chrome, Safari and Firefox are the recommended browsers for this application.
